Relevant and even prescient commentary on news, politics and the economy.

Foreign-trained physicians and the physician workforce

I’ve written previously about the shortage of primary care physicians in the US. In principle, one way to address this shortage is to admit more international medical graduates as physicians. But an historic barrier to this solution is the requirement for US residency training. Some states are passing laws allowing international medical graduates if they […]

Bot docs and the economics of primary care

The way to make money in medicine is to do procedures (colonoscopies, surgery). Primary care physicians, as a rule, don’t to procedures. They diagnose and, when necessary, refer to a specialist for procedures. So primary care physicians don’t make the big bucks. Med school graduates carrying loans from college and medical school are attracted to […]

Primary care physicians and unions

One of the phenomena that have led to increased income inequality and the hollowing out of the middle class in America is the decline of unions. Recently, it appears that some workers are trying to claw back some of that lost economic ground. Now I don’t count PCPs as middle class or working class. Yes, […]